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All Journal JURNAL ILMU BUDAYA Pendas : Jurnah Ilmiah Pendidikan Dasar Gema Wiralodra These proceedings represent the work of researchers participating in The International Conference on Elementary Education (ICEE) which is being hosted by the Elementary Education Study Programme School of Postgraduate Studies, Universitas Pendidikan Jurnal Keperawatan Florence Nightingale eScience Humanity Journal Jurnal KALANDRA International Journal of Educational Best Practices The Indonesian Journal of General Medicine Proceedings of International Conference on Multidisciplinary Engineering (ICOMDEN)
Yustina
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Delayed Emergency Management of Testicular Torsion in a Rural Hospital Without Urologist: A Case Report Satrio Budi Wicaksono; Yustina
The Indonesian Journal of General Medicine Vol. 26 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/43w7as90

Abstract

Background Testicular torsion is a time-sensitive urological emergency requiring prompt diagnosis and surgical intervention to prevent irreversible ischemia and testicular loss. International guidelines emphasize immediate surgical exploration in patients with high clinical suspicion rather than delaying intervention for confirmatory imaging. Delays are more common in rural hospitals due to limited resources and lack of urologists. Case Presentation A 13-year-old boy presented with sudden severe left scrotal pain. Physical examination revealed a hard, horizontally lying left testis with absent cremasteric reflex. The TWIST score was 6, indicating high risk of torsion. Color Doppler ultrasonography showed reduced perfusion. Surgical exploration was performed approximately 7 hours after admission, revealing intravaginal torsion exceeding 360° with non-viable testis. Left orchiectomy and right orchidopexy were performed. Postoperative recovery was uneventful. Discussion This case highlights the importance of early clinical diagnosis, utilization of the TWIST score, and prompt surgical management. Delayed intervention related to emergency department workload, operating room availability, and absence of on-site urologists contributed to testicular loss. Conclusion In rural hospitals without urologists, standardized triage using TWIST, early surgical referral, and consideration of manual detorsion are essential to reduce preventable orchiectomy.
Biodiversity Offset Policy: A Sustainable Conservation Opportunity Rian Vebrianto; Alaniyah Syafarenr; Khairi; Suwondo; Yustina
Proceedings of International Conference on Multidisciplinary Engineering (ICOMDEN) Vol. 1 (2018): Proceedings of International Conference on Multidisciplinary Engineering (ICOMDEN)
Publisher : Faculty of Engineering, Malikussaleh University

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Abstract

The ultimate goal of biodiversity offset is to avoid net loss and preferably net gain from species composition side, habitat structure, ecosystem function, community use, and cultural values related with biodiversity. The idea of biodiversity offset has created controversy for some conservation societies because there is concern that the use of this scheme may encourage governments to continue to allow projects that have a serious impact on biodiversity as long as the project offers compensation. This scheme could also allow the company to leave significant impacts on the project area as long as it holds conservation activities elsewhere. Therefore, the application of biodiversity offsets must strictly adhere to the mitigation hierarchy that places biodiversity offsets as the last resort after all possible efforts have been made to avoid and minimize the impact of the development project and restore biodiversity in the project area
Co-Authors Alaniyah Syafarenr Amalia , Nindy Putri Annur, Shofiyah Nabila Arini, Fadhilah Sukma Bunga, Bunga Edres Dahnilsyah Damardi Eddy Noviana Edellya, Martha Farahdina, Rima Febrio Rozalmi Putra Firsty Sofila Hadriana Hendrizal Humairah, Rifa Khalisha Imam Mahadi Intan Kartika Sari, Intan Kartika Jimmi Copriady Khairi Lontaan, Youla Agnes Manurung, Rudiando Mitri Irianti Niken Aurelia, Pipiet Otang Kurniaman Prameswari, Nadine Putri, Gabrielle Havana Putri, Kuntum Sharfin Rahman, Asriezza Geuthena Raja Guk-guk, Elin Hotmaria Roza Naulia Rosdianti Sarhan Satrio Budi Wicaksono Sri Erlinda Suparlan, Monica Sri Rejeki Suwondo Vebrianto, Rian Yohana, Veby Yolanda, Mercy Yusparni Yetti